NPIMap

Organization Active NPI

Calm Waters Counseling, LLC

  • Social Worker
  • Richmond, VA
National Provider Identifier
1982234092
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CALM WATERS COUNSELING, LLC
Practice address
2025 E Main St Ste 216
Richmond, VA 23223-7073
Phone
(510) 776-3984
Fax
(888) 519-4656
NPI assigned
Jan 17, 2020
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marlin A MettersNPI 1487029294
Title
Owner
Phone
(510) 776-3984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Social Worker 104100000X NU Primary

Addresses

Primary practice location

2025 E Main St Ste 216
Richmond, VA 23223-7073

Mailing address

3024 Cone Manor LN
Raleigh, NC 27613-6604
Phone (510) 776-3984

Other practice location 1

330 Oxford St Ste 208A
Chula Vista, CA 91911-3119
Phone (510) 776-3984

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Richmond

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200331001447 VA Part B Supplier - Clinic/Group Practice 1254760010 Receives reassigned benefits from 5 practitioners
Practice locations: Richmond, VA
O20250207001641 CA Part B Supplier - Clinic/Group Practice 1254760010 Receives reassigned benefits from 4 practitioners
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

330 Oxford St
Ste 208A
Chula Vista, CA 91911
Phone (510) 776-3984

2025 E Main St
Ste 18
Richmond, VA 23223
Phone (510) 776-3984

2025 E Main St
Ste 216
Richmond, VA 23223
Phone (804) 644-0774

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1982234092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 CONE MANOR LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136604",
            "telephone_number": "510-776-3984",
            "fax_number": "888-519-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST STE 216",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237073",
            "telephone_number": "510-776-3984",
            "fax_number": "888-519-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Oxford St Ste 208A",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919113119",
            "country_code": "US",
            "telephone_number": "510-776-3984",
            "fax_number": "888-519-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALM WATERS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "METTERS",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-776-3984"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "address_1": "2025 E Main St Ste 216",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232237073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.